Hospice and Palliative Medicine: Recent Episodes
ReachMD
Host: Pranshu Mohindra, MD
Guest: Melissa Teply, MD
Guest: Judith Paice, PhD, RN
Guest: Fionnuala Crowley, MD
This enduring program of the live-virtual symposium will focus on the challenges of managing cancer pain using the Evolve KOL Knockout™ case-based format. The key opinion leaders (KOLs) will be challenged by the host/moderator to diagnose and manage patient scenarios with varying levels of difficulty. Learners will vote on the winner of each case presentation round and the moderator will declare a match winner at the conclusion.
There will be learning, laughter, and only one KOL left standing!
Host: Pranshu Mohindra, MD
Guest: Melissa Teply, MD
Guest: Judith Paice, PhD, RN
Guest: Fionnuala Crowley, MD
This enduring program of the live-virtual symposium will focus on the challenges of managing cancer pain using the Evolve KOL Knockout™ case-based format. The key opinion leaders (KOLs) will be challenged by the host/moderator to diagnose and manage patient scenarios with varying levels of difficulty. Learners will vote on the winner of each case presentation round and the moderator will declare a match winner at the conclusion.
There will be learning, laughter, and only one KOL left standing!
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Nick Kusnezov, MD
Can you balance locum tenens with a full-time career? To answer that question, Dr. Charles Turck is joined by board-certified orthopedic surgeon, Dr. Nicholas Kusnezov, to walk us through his journey from joining the military to locum tenens.
Host: Jennifer Caudle, DO
Guest: Roni Devlin, MD
As rates of burnout continue to rise in the healthcare community, how can help our female physicians combat it? Dr. Jennifer Caudle joins Infectious Disease Specialist, Dr. Roni Devlin, to discuss how we can prevent burnout for female physicians.
Host: Jennifer Caudle, DO
Guest: Maurice G. Sholas, MD, PhD
After years of serving the New Orleans community, one physician decided to pursue locum tenens work. Dr. Jennifer Caudle joins Dr. Maurice Sholas, a pediatric physical rehabilitation physician, to share his experiences with locum tenens and in New Orleans.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Trevor Cabrera, MD
What’s it like becoming a locum tenens physician right out of residency? Dr. Charles Turck joins Dr. Trevor Cabrera, a Board-Certified pediatrician who trained in Houston, Texas, to share his firsthand experience and offer advice for residents.
Host: Paul P. Doghramji, MD, FAAFP
Guest: Samantha Conroy, MD
Locum tenens can improve quality of care around the globe—especially in remote and underserved communities. To share how, Dr. Paul Doghramji joins Dr. Samantha Conroy, a family practice obstetrician to share her experiences working as a locum tenens obstetrician in underserved communities.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Trevor Cabrera, MD
What’s it like becoming a locum tenens physician right out of residency? Dr. Charles Turck joins Dr. Trevor Cabrera, a Board-Certified pediatrician who trained in Houston, Texas, to share his firsthand experience and offer advice for residents.
Host: John J. Russell, MD
Guest: Joseph E. Bavaria, MD
Featuring a wide range of disciplines and a new approach to comprehensive care, what do we need to know about the Aorta Center at Penn Medicine? Dr. John Russell is joined by Dr. Joseph E. Bavaria to dive into this aortic program and discuss a new approach to comprehensive care.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Kathryn Gallagher, MS, RN, BSN
Guest: Kate Newcomb-DeSanto, MSN, RN, MSW
What does Penn Medicine’s newly-opened patient room facility have to offer? Dr. Charles Turck is joined by Penn Medicine Clinical Advisors Kathy Gallagher and Kate Newcomb-DeSanto to discuss the new pavilion and how it's revolutionizing patient care.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Sandy Marks
Guest: Kim Horvath, JD
Guest: Kyle Thomson, JD
With telehealth services expanding during the COVID-19 pandemic, has our access to them changed? To better understand this, Dr. Charles Turck meets with Sandy Marks, Kim Horvath, and Kyle Thomson from the AMA to explore what’s been done to provide Medicare coverage during a public health emergency and what’s on the horizon for telehealth access.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Emily Carroll, JD, MSW
The No Surprises Act aims to protect consumers from surprise medical bills. But how exactly does it go about doing that, and what’s the current status of its implementation? Joining Dr. Charles Turck to share progress and challenges associated with the No Surprises Act is Ms. Emily Carroll, a senior legislative attorney for the American Medical Association's Advocacy Resource Center.
Host: Jennifer Caudle, DO
Guest: Sarah Ali, MD
From working in a big city to taking on an assignment in a small mountain village, Dr. Sarah Ali from the Ventura County Medical Center joins Dr. Jennifer Caudle to talk about her adventures abroad with locum tenens and share key lessons she learned along the way.
Host: Paul P. Doghramji, MD, FAAFP
Guest: Mojgan Saber, MD
Can Locum Tenens be an option for healthcare professionals just completing their residency? Dr. Paul Doghramji is joined by Dr. Mojgan Saber to share her own experience as well as tips and tricks for residents looking at Locum Tenens right after residency.
Host: Charles P. Vega, MD
Guest: Candice Taylor Lucas, MD, MPH, FAAP
What is cultural humility, and how can it be incorporated into clinical practice? How does your patient's culture impact their health behaviors, and why does your culture matter?
Listen in as two leading experts navigate concerns surrounding cultural humility and emphasize the importance of empathy, awareness, and advocacy. Discover ways to integrate small but important changes into your clinical practice to help bridge communication gaps and enable your patients to thrive.
Host: Charles P. Vega, MD
Guest: Sateria Venable
Regional healthcare disparities are biases that are based on where people live. Are your patients’ treatment options being impacted and limited by their geographical location? Join us as our two experts discuss how to support broader policy issues and highlight the importance of diagnostic algorithms that have been developed with diverse input. These steps may be of value in your clinical practice to ensure all patients have equal access to care regardless of their epidemiologic, socioeconomic, or insurance circumstances.
Host: Charles P. Vega, MD
Guest: Lionel Phillips, MBA
Learn why diversity in clinical trials is so important to community health. Two experts discuss the key role that trusted messengers play in enrollment, why it is critical to break the cycle of medical mistrust, and the downstream effect of a lack of diversity in clinical trials.
Host: Charles P. Vega, MD
Guest: Robert O. Roswell, MD, FACC, FACP
Diversifying our physician workforce so that it is more racially, ethnically, and geographically balanced can ultimately have a positive impact on community health. Join us as two experts discuss how pipeline programs reaching children as early as elementary school can help ensure workplace diversity. Also find out how clinicians can be advocates for their patients by helping to disentangle them from structural inequities and working towards policy changes. There’s a lot than can be done to provide more balanced care, but we need to look beyond simple fixes to the root causes of the issues. So find your bandwidth – that’s what you can do today – and discover why it’s so important to move upstream to solve the problems manifesting downstream.
Guest: Andy Arwari, MD
With more patients opting for home-based care over long-term, acute, and office-based care, it’s important that we align with our patients on what’s most important to them and how they want to be cared for, especially those who are nearing the end of life.
That’s why VITAS Medical Director, Dr. Andy Arwari, is here to share the purpose of goals-of-care conversations and how an app can aid in determining if an advanced illness patient is eligible for hospice.
Host: Brian P. McDonough, MD, FAAFP
Palliative and hospice care both have very important roles in healthcare, but unfortunately, they are often overlooked as resources.
Dr. Brian McDonough is joined by Chief Medical Officer of Samaritan Healthcare & Hospice Dr. Stephen Goldfine, who offers his perspective on the stigma surrounding these two areas of healthcare and recommendations on how to make the conversation easier for you and your patients.
Host: John J. Russell, MD
As a young critical care physician, Dr. Rana Awdish was transfigured from a doctor into a critically ill patient in an instant. This transposition, coincidentally timed at the end of her medical training, instantly laid bare the vast chasm between the conventional practice of medicine and the stark reality of the prostrate patient.
Host Dr. John Russell chats with Dr. Rana Awdish about this transformation and how she came to understand the fatal flaws in her profession, from her own past actions as a physician to the perils of navigating her own illness. She presents a new paradigm and rationale for embracing the emotional bond between doctor and patient and outlines the redemptive possibilities of dismantling the barriers to connection in all relationships.
Dr. Awdish is the author of In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope and Director of the Pulmonary Hypertension Program at Henry Ford Hospital in Detroit.
Host: Jennifer Caudle, DO
Guest: Evan Rubin, DO
Palliative care patients who received in-home, interdisciplinary care could be less likely to need emergency room visits or get admitted to the hospital than those receiving more standard home care. On today’s program, host Dr. Jennifer Caudle will be joined by Dr. Evan Rubin, an internal medicine doctor with Visiting Physician Services, to focus on this unique model for palliative care, how it can improve the quality of life for patients, and its cost reductions on the healthcare system.
Host: Jennifer Caudle, DO
The burden of deciding end-of-life care often falls on family and friends when patients are no longer able to make decisions regarding their own care. What do physicians need to know when guiding families through these tough situations?
Host Dr. Jennifer Caudle is joined by Dr. Marianne Holler, Medical Director of Hospice and Palliative Programs for the VNA Health Group of New Jersey. They talk about what physicians can do to aid families when faced with end-of-life decisions.
[Read the Article]
To some, end of life care in the United States is considered resource intensive, expensive, and inattentive to patients' needs. So how does the United States compare to other countries? A new study examined several health care measures at the end of life for cancer patients in five European countries, Canada and the United States.
Researchers from the University of Pennsylvania Perelman School of Medicine compared the health care experience for cancer patients older than 65, in Canada, Belgium, Germany, England, the Netherlands, Norway and the United States. They examined several clinical measures during the final six months of life.
The United States and Netherlands had the lowest percentage of patients dying in the hospital. The United States also had the fewest hospitalizations and the smallest number of days patients spent in the hospital. In contrast, intensive care admissions were twice as common in the United States compared to the other countries.
During the last six months of life, patients in Norway and Canada had higher hospital costs than patients in the United States. There was less spending in Germany and Belgium, but the lowest expenditures were in the Netherlands and …
Host: Maurice Pickard, MD
Host Dr. Maurice Pickard welcomes award-winning journalist Katy Butler. In her book, Knocking on Heaven's Door, shespeaksfor the twenty-four million Americans who are helping their parents through their final years. Ms. Butler's memoir and investigation reports on the modern complications of technology, medicine, and business toward the process of dying. Knocking on Heaven's Door helps encourage readers to have the difficult conversations with loved ones that are needed in order to discover paths toward a better way of death.
Download and listen today!
Host: Eric Tangalos, MD
Guest: Tena Alonzo, MA
How can creating a more positive emotional experience for patients with dementia or Alzheimer's diminish behavior issues and improve quality of life? Tena Alonzo, director of research and co-director of the Palliative Care for Advanced Dementia program at Beatitudes Campus in Phoenix, discusses a common-sense approach to creating a comforting environment for those with dementia and Alzheimer's, which focuses on meeting each patient's unique needs. What simple steps can long-term care facilities and caregivers take to enhance the lives of patients with cognitive disorders? Dr. Eric Tangalos hosts.
Host: Anthony Alessi, MD
Guest: Eelco Wijdicks, MD, PhD
The American Academy of Neurology released new guidelines for determining brain death in adults, providing a step-by-step process for making this decision consistent among hospitals in the United States. One major departure in these guidelines is the recommendation of a single exam, rather than multiple exams occurring at several-hour intervals. How does this change impact organ donation following brain death? Dr. Eelco Wijdicks, professor of neurology at the Mayo Clinic College of Medicine and chair of the division of critical care, joins Dr. Anthony Alessi to discuss how to evaluate a brain dead patient without jeopardizing their organs for transplant.
Guest: Matthew Wayne, MD, CMD
Host: Eric Tangalos, MD
Regulations regarding nurses as prescribing agents of physicians in long-term care facilities are more restrictive than in the hospital setting, because controlled substance licenses are not currently approved for nursing homes in most states. These restrictions can make it challenging for long-term care patients to receive timely access to narcotics. Dr. Matthew Wayne, medical director, geriatric medicine, University Hospital Richmond Medical Center in Richmond Heights, Ohio, and assistant professor of medicine at University Hospitals Case Medical Center in Cleveland, suggests revisions to some provisions of the Controlled Substances Act in order to ensure long-term care patients have access to pain medications when they need them the most. What hurdles are the most significant impediments to improving patient care with appropriate access to narcotics, and how can medical professionals best navigate the waters until revisions are made to the current law? Dr. Eric Tangalos hosts.
Guest: Peter Winn, MD, CMD
Host: Eric Tangalos, MD
With palliative and hospice care, there is no one-size-fits-all approach. What differentiates these two types of care and how can physicians decide which approach to palliative or hospice care is best for each patient? Dr. Peter Winn, professor in the department of family medicine at Oklahoma University School of Medicine in Oklahoma City, discusses various types of care at the end of life, and outlines conditions that might require such care. What are some of the challenges to providing effective palliative and hospice care, and how can physicians best discuss realistic expectations with families and patients? Hosted by Dr. Eric Tangalos.
Guest: Karl Steinberg, MD, CMD
Host: Eric Tangalos, MD
"Advance directive" is an umbrella term that encompasses end-of-life documents, including a living will and durable power of attorney for healthcare. Such documents can be scary for many patients, and as such, advance directives are not very common among the general US population. Yet these documents can be powerful tools in ensuring patients receive the type of care they desire. What do physicians need to know about advance directives in caring for patients at the end of life? Dr. Karl Steinberg, associate medical director for skilled nursing care at Scripps Coastal Medical Center in Vista, California, discusses variations, misconceptions and confusion surrounding advance directives, and says there is room for improvement. Many states have enacted Physician Orders for Life Sustaining Treatment (POLST) programs to address end-of-life care issues. What do these programs involve, and how effective are such programs in alleviating confusion with end-of-life care? Dr. Eric Tangalos hosts.
Guest: David Dosa, MD, MPH
Host: Eric Tangalos, MD
Long-term care facilities that include pets as residents are finding that fuzzy friends offer not only companionship to their human residents, but also comfort at the end of life. Dr. David Dosa, geriatrician and health services researcher at Brown University in Providence, Rhode Island, and author of Making Rounds with Oscar: The Extraordinary Gift of an Ordinary Cat, shares his stories about a nursing home cat named Oscar with an uncanny ability to sense when patients are nearing the end of life. What can Oscar teach us about compassionate palliative and hospice care? How prevalent are animal programs at long-term care facilities, and what other benefits do pets offer to residents? How do animal programs fit in with culture change in long-term care? Dr. Eric Tangalos hosts.
Guest: William Thies, PhD
Host: Bruce Japsen
Some 5 million Americans have Alzheimer's disease, with more cases sure to develop as the baby boomer generation ages. New potential discoveries are on the horizon. But, as Dr. William Thies, chief medical and scientific officer for the national office of the Alzheimer's Association, tells host Bruce Japsen, significant challenges and obstacles also lie ahead for these potential ground-breaking discoveries.
Guest: Sean Morrison, MD
Host: Porter Storey, MD
What is the best treatment for our geriatric patients in pain? Do the hazards of analgesics outweigh the harm of being of pain for these patients? Dr. Sean Morrison joins host Dr. Porter Storey to explore pain's implications, treatment options, and red flags when treating geriatric patients.
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Guest: Russell K. Portenoy, MD
Host: Porter Storey, MD
More than half of the United States’ large hospitals have a palliative care team. What constitutes good palliative care? How do specialist palliative care and generalist care differ? Tune in for an exploration of the best practices in the treatment of patients with serious or life-threatening illness, with host Dr. Porter Storey and Dr. Russell Portenoy, chairman of the department of pain medicine and palliative care at Beth Israel Medical Center in New York.
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Guest: Richard Payne, MD
Host: Porter Storey, MD
Our patients' religious and spiritual beliefs must guide our care of them at end of life. Dr. Richard Payne, director of the Duke Institute on Care at the End of Life, tells host Dr. Porter Storey that the patients' conception of pain and end of life will shape how patients and their families will view these experiences. They also discuss how clinicians might navigate medical decisions in the context of culturally-determined beliefs and preferences.
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Host: Eric Tangalos, MD
Guest: Harold Bob, MD, CMD
If you were told there was a method of reducing pain that was low- or no cost, not harmful, and effective, would you be interested in learning more? Nothing can replace evidence-based medicine, but the human connection between physician and patient can go a long way to reducing patients' pain and suffering. How can Reiki and other alternative healing methods complement conventional evidence-based medicine? Dr. Harold Bob, managing partner of a group practice in Reisterstown, Maryland, and medical director at two nursing homes and a hospice in Maryland, discusses the benefits Reiki has brought to his patients and suggests ways all physicians can apply the basic principles of this method in their own practices to connect with patients. How big of a difference can compassionate presence bring to a patient's quality of life and well being? Hosted by Dr. Eric Tangalos.
Guest: Ira Byock, MD
Host: Martin Samuels, MD
Does discussion of end-of-life issue have to devolve into questions about physician-assisted suicide or so-called death panels? Joining host Dr. Martin Samuels is Dr. Ira Byock, director of palliative medicine at Dartmouth-Hitchcok Medical Center in Lebanon, New Hampshire. They discuss why this area of medicine is so important, how to better instruct medical students in the field, and the role of compassion in end-of-life care.
Guest: Gail Cooney, MD
Host: Porter Storey, MD
Delivering difficult news to a patient often requires a delicate and individualized approach. Dr. Gail Cooney reviews with host Dr. Porter Storey some of the most important do's and don'ts of communicating with your patients. She discusses what she learned on the other side of the desk, as the patient in the position of receiving devastating news, and outlines 3 basic steps for framing the conversation, and 3 things you should never say or do.
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Guest: Arthur Derse, MD, JD
Host: Shira Johnson, MD
Matters of life and death occur constantly in emergency departments, but some ED doctors are not well trained for the death that's expected. There is a new push inside hospitals and medical schools to train ED personnel in palliative care. Dr. Arthur Derse, director of medical and legal affairs and associate director of the Medical College of Wisconsin's Center for the Study of Bioethics, joins host Dr. Shira Johnson to discuss the new techniques being taught to ED residents for dealing with end-of-life issues. They also look at a new sub-specialty in emergency room medicine that focuses on hospice and palliative care.
Guest: Arthur Derse, MD, JD
Host: Shira Johnson, MD
More than 500,000 Americans die from cancer every year, and many of those people spend their final hours in the emergency department. More and more patients and their families turn to ED doctors to help make difficult decisions when it comes to end-of-life issues. Dr. Arthur Derse, director of medical and legal affairs and associate director of the Medical College of Wisconsin's Center for the Study of Bioethics and professor of bioethics and emergency medicine, joins host Dr. Shira Johnson to look at how doctors can help terminally ill patients and their loved ones when it comes to living wills, life support and pain management.
Guest: Jeffrey Levine, MD, CMD
Host: Eric Tangalos, MD
Death certificates are essential to the creation of public health policies and determination of funding allocation. In addition, death certificates can bring public health epidemics to the forefront. Dr. Jeffrey Levine, clinical associate professor of medicine at New York Medical College, discusses how physicians can accurately report the immediate, intermediate and underlying causes of death. What medical-legal issues might be impacted by the accuracy or inaccuracy of death certificates? Dr. Eric Tangalos hosts.
Host: Cathleen Margolin, PhD
Guest: Woodson Merrell, MD
When clothing designer Donna Karan lost her husband and then her best friend to cancer, she felt frustrated with the limitations of the strictly Western style of medical care they had received. Ms. Karan recognized the important contributions of science from Western medicine, but she also believed that healing comes from spiritual and alternative means. Her desire to combine the best of Eastern and Western healing methods resulted in an $850,000 grant to Beth Israel Medical Center's Continuum Center for Health and Healing and department of integrative medicine in New York City. Dr. Woodson Merrell, chair of the department of integrative medicine, explains how integrative therapies are being interwoven with care strategies for complex medical cases and explores the potential of integrative medicine, as well as research into these therapies and what would lead to their taking hold at more hospitals across the country. Dr. Cathleen Margolin hosts.
Host: Susan Dolan, RN, JD
Guest: Sue Ann Thomas, PhD, RN
Should terminally ill patients have implantable cardioverter defribrillators (ICDs)? Join Dr. Sue Thomas, assistant dean for PhD studies and professor at the University of Maryland School of Nursing, as she discusses the implications of ICDs for terminally ill patients. Dr. Thomas tells host Susan Dolan how the ICDs is deactivated. They also talk about whether an ethics committee should be involved in the decision to deactivate an ICD, and the nurse's role in caring for patients with these implanted devices.
Guest: Stephen A. McClave, MD
Host: Mark DeLegge, MD
Physicians were previously obligated to provide nutrition and hydration to all patients during end of life care. Now, the courts have placed the responsibility with the patient. How can you best counsel patients and their families in making difficult decisions on feeding for the terminally ill? Dr. Stephen McClave, professor of medicine and director of clinical nutrition at the University of Louisville School of Medicine, takes a closer look at the ethical, legal and practical ramifications related to end-of-life nutrition with host Dr. Mark DeLegge.
Guest: Barbara Lee, PA, FNP, JD
Host: Susan Dolan, RN, JD
Barbara Coombs Lee is a nurse, a physician's assistant, an attorney, and the president of Compassion and Choices, an organization dedicated to expanding and protecting the rights of the terminally ill. Ms. Lee discusses the biggest misconceptions doctors have about end-of-life care. Susan Dolan hosts.
Host: Maurice Pickard, MD
Guest: Stefan J. Friedrichsdorf, MD, PhD
Dr. Stefan Friedrichsdorf, medical director of the Pain and Palliative Care Program at Children's Hospitals and Clinics of Minnesota, discusses a range of topics within the field of pediatric palliative care. In contrast to the expected standard of care for adults, many children with life-limiting and terminal diseases receive inferior treatment in this area. Given that a child's condition may last well into adulthood, effective programs embrace physical, emotional, social and spiritual elements, with a focus on enhancing the child's quality of life and providing support for their family. Dr. Maurice Pickard hosts.
Guest: Angela Morrow, RN
Host: Susan Dolan, RN, JD
Over 750 topics are listed on About.com. During this segment, hear how Angela Morrow, a certified hospice and palliative care nurse, serves as a Guide for the palliative care site on About.com.
Guest: Mary Johnson, Chaplain
Host: Susan Dolan, RN, JD
Chaplain Mary E. Johnson is an Assistant Professor of Oncology at the Mayo Clinic college of Medicine in Rochester, Minnesota. Chaplain Johnson has provided spiritual support to patients, their loved ones and staff at the Mayo Clinic for nearly 30 years. Hear Chaplain Johnson as she discusses how the best caregivers care for themselves.
Guest: Mary Johnson, Chaplain
Host: Susan Dolan, RN, JD
Chaplain Mary E. Johnson is an Assistant Professor of Oncology at the Mayo Clinic College of Medicine in Rochester, Minnesota. Chaplain Johnson has provided spiritual support to patients, their loved ones and staff at the Mayo Clinic for nearly 30 years. Hear Chaplain Johnson as she discusses how to interact with terminally ill patients.
Guest: Katrina Hedberg, MD
Host: Michael Greenberg, MD
Who chooses to participate in Oregon's Death With Dignity Act? What's their education level? What type of diagnosis is required? How does religion come into play? In further exploring Oregon's Death With Dignity Act, epidemiologist, Dr. Katrina Hedberg, from the Oregon Department of Human Services addresses the facts and figures with your host, Dr. Michael Greenberg, including the rights and regulation of those physicians writing the lethal prescription.
Guest: Katrina Hedberg, MD
Host: Michael Greenberg, MD
Is Oregon's Death with Dignity Act a violation of the Hippocratic Oath or a humane solution? ReachMD's Dr. Michael Greenberg discusses this originally citizen-led initiative, and current law with epidemiologist, Dr. Katrina Hedberg, from the Oregon Department of Human Services. Dr. Hedberg addresses the requirements for patients to opt for this non-euthanasian, yet lethal prescription. The consent, patient motivations, controversy, and the statistics of those who've chosen to take advantage of Oregon's law are discussed.
Guest: Geoffrey Joyce, PhD
Host: Bill Rutenberg, MD
The individual's healthcare in the last 12 months of life costs about 25% of total healthcare costs for that person's life. Should policy makers’ better control end-of-life costs? This is just one of many questions addressed in this segment about weighing the effectiveness of treatment vs. cost. Join us as host Dr. Bill Rutenberg interviews Senior Medical Economist of the Rand Corporation, Geoffrey Joyce PhD.
Guest: Dennis McCullough, MD
Host: Leslie P. Lundt, MD
In the later stages of life, patient care often requires a different approach. How can a physician help geriatric patients and their loved ones through the last stations of life: decline, prelude to dying, dying and grieving? Dr. Dennis McCullough, associate professor of community and family medicine at Dartmouth School of Medicine and practicing geriatrician for 30 years, joins host Dr. Leslie Lundt to explain ‘slow medicine.' Dr. McCullough discusses a forward approach to planning, understanding a patient's comfort with risk vs. safety, as well as building and using a team.
Guest: Dennis McCullough, MD
Host: Leslie P. Lundt, MD
Dr. Dennis McCullough embodies the Tibetan wisdom 'make haste slowly.' How can we navigate caring for our elders with compassion and understanding? Dr. Dennis McCullough has been an in the-trenches family doc and geriatrician for 30 years. He serves as a faculty member in the department of community and family medicine at Dartmouth Medical School. He is author of the book My Mother, Your Mother: Embracing 'Slow Medicine,' the Compassionate Approach to Caring for Your Loved Ones. What exactly is slow medicine? Tune in for host Dr. Leslie Lundt's conversation with Dr. McCullough to find out.
Guest: David Feldman, PhD
Host: Susan Dolan, RN, JD
Guest: Andrew Lasher, MD
During this segment, Dr. David Feldman and Dr. Andrew Lasher offer expert advice about end-of-life care from their book, The End-of-Life Handbook. Susan Dolan hosts.
Guest: David Feldman, PhD
Host: Susan Dolan, RN, JD
Guest: Andrew Lasher, MD
During this segment hear the coauthors of The End-of-Life Handbook, Dr. David Feldman and Dr. Andrew Lasher, offer their best advice for handling challenging issues surrounding the end of life.
Guest: David Feldman, PhD
Host: Susan Dolan, RN, JD
Guest: Andrew Lasher, MD
During this segment coauthors Dr. David Feldman and Dr. Andrew Lasher, explain how their book, The End-of-Life Handbook, helps patients and families facing life threatening illnesses.
Guest: Judith Paice, PhD, RN
Host: Susan Dolan, RN, JD
Dr. Judith A. Paice is the Director of the Cancer Pain Program in the Division of Hematology-Oncology at Northwestern Feinburg School of Medicine in Chicago, Illinois. Hear Dr. Paice as she discusses how to identify and treat refractory suffering.
Guest: Judith Paice, PhD, RN
Host: Susan Dolan, RN, JD
Dr. Judith A. Paice is the Director of the Cancer Pain Program in the Division of Hematology-Oncology at Northwestern University Feinberg School of Medicine in Chicago, Illinois. Hear Dr. Paice as she discusses how to identify and treat the three types of pain.
Guest: Barbara Bollier, MD
Host: Susan Dolan, RN, JD
Dr. Barbara Bollier works with the Pediatric Palliative Care Initiative at the Center for Practical Bioethics in Kansas City, MO. Hear Dr. Bollier as she discusses the advance care planning document, Caring Conversations for Young Adults.
Guest: Thomas Lynch, MD
Host: Susan Dolan, RN, JD
Dr. Thomas Lynch is Professor of Medicine at Harvard Medical School, Director of the Oncology Service Line at Dana-Farber Partners Cancer Care and Chief of Hematology-Oncology at the Massachusetts General Hospital. Dr. Lynch discusses the myriad of programs available through the Kenneth B. Schwartz Center in Boston, Massachusetts.
Guest: Thomas Lynch, MD
Host: Susan Dolan, RN, JD
During this segment hear Dr. Thomas Lynch, Professor of Medicine at Harvard Medical School, as he tells the inspirational the story of Kenneth B. Schwartz and his impact on the delivery of healthcare.
Guest: Thomas Lynch, MD
Host: Susan Dolan, RN, JD
Dr. Thomas Lynch is Professor of Medicine at Harvard Medical School, Director of the Oncology Service Line at Dana-Farber Partners CancerCare and Chief of Hematology-Oncology at the Massachusetts General Hospital Cancer Center in Boston, Massachusetts. Dr. Lynch discusses why Schwartz Center Rounds are so successful.
Guest: Lory Clukey, RN, PhD
Host: Susan Dolan, RN, JD
Lory Clukey, RN, DNSc, PsyD, is an Associate Professor at the University of Northern Colorado School of Nursing in Greeley, Colorado. In this segment hear Dr. Clukey discuss her Journal of Hospice and Palliative Nursing article, "Just Be There: Hospice Caregivers' Anticipatory Mourning Experience."
Guest: Nathan Kottkamp, JD
Host: Susan Dolan, RN, JD
Hear healthcare attorney Nathan Kottkamp as he discusses strategies physicians may use to facilitate conversations related to advance care planning.
Guest: Mimi Jenko, RN
Host: Susan Dolan, RN, JD
Guest: Leah Gonzales, MSN, RN
Hear Mimi Jenko and Leah Gonzales, Clinical Nurses Specialists, as they explain how to integrate life review into clinical practice. Mimi and Leah are coauthors of the Journal of Hospice and Palliative Nursing article, "Life Review With the Terminally Ill."
Guest: Mimi Jenko, RN
Host: Susan Dolan, RN, JD
Guest: Leah Gonzales, MSN, RN
Hear Mimi Jenko and Leah Gonzales, Clinical Nurse Specialists, as they explain how life review helps patients and families. Mimi and Leah are coauthors of the Journal of Hospice and Palliative Nursing article, "Life Review With the Terminally Ill."
Guest: Constance Dahlin, MSN, APRN
Host: Susan Dolan, RN, JD
Join Constance M. Dahlin, an advanced practice nurse and Co-Director of the Outpatient Palliative Care Service at Massachusetts General Hospital in Boston, Massachusetts, as she discusses the uniform palliative care guidelines.
Host: Maurice Pickard, MD
Guest: Richard King
In his book “My Maggie,” Chicago sports anchor Rich King writes a powerful, complex, and memorable love story about his childhood sweetheart and wife of 32 years. Diagnosed with hearing loss at the age of four, Maggie wore cumbersome hearing aids and felt the humiliation of being "different." Slowly, an insidious disease later diagnosed as Usher Syndrome robbed her of vision. But she soldiered on, having fought three different cancers, changed careers in the middle of her life and fought to realize her dreams. Maggie King confronted this progressive disease with courage and dignity throughout her career in nursing and later as a strong advocate for the disabled.
Host: Maurice Pickard, MD
Guest: Richard King
In his book “My Maggie,” Chicago sports anchor Rich King writes a powerful, complex, and memorable love story about his childhood sweetheart and wife of 32 years. Diagnosed with hearing loss at the age of four, Maggie wore cumbersome hearing aids and felt the humiliation of being "different." Slowly, an insidious disease later diagnosed as Usher Syndrome robbed her of vision. But she soldiered on, having fought three different cancers, changed careers in the middle of her life and fought to realize her dreams. Maggie King confronted this progressive disease with courage and dignity throughout her career in nursing and later as a strong advocate for the disabled.
Guest: Betty Davies, RN, PhD
Host: Susan Dolan, RN, JD
Guest: Stacy Orloff, EdD
Betty Davies, RN, PhD, FAAN, is Professor, Department of Family Health Care Nursing at the University of California, San Francisco and Principal Investigator on a NIH research project to examine the experiences of fathers with terminally ill children. Dr. Davies is joined by site coordinator Stacy Orloff, EdD, LCSW, to discuss their NIH research project.
Guest: Mary Whitmer, RN
Host: Susan Dolan, RN, JD
Hear Mary Whitmer, RN, FNP, BC-PC, a Palliative Care Nurse Practitioner at Banner Good Samaritan Medical Center in Phoenix, Arizona, as she discusses the implementation of a Grieving Cart in the ICU.
Guest: Judith Paice, PhD, RN
Host: Susan Dolan, RN, JD
Join Judith A. Paice PhD, RN, FAAN, Director of the Cancer Pain Program in the Division of Hematology-Oncology and a Research Professor of Medicine at Northwestern University Feinburg School of Medicine in Chicago, Illinois, as she discusses her research regarding incorporating palliative and hospice care in the medical and nursing curricula.
Guest: Nathan Kottkamp, JD
Host: Susan Dolan, RN, JD
Hear healthcare attorney Nathan A. Kottkamp from McGuireWoods law firm in Richmond, Virginia, as he discusses the importance of the advance care planning process.
Guest: Nathan Kottkamp, JD
Host: Susan Dolan, RN, JD
Hear healthcare attorney Nathan A. Kottkamp with the law firm McGuireWoods in Richmond, Virginia, as he discusses National Healthcare Decisions Day 2008.
Guest: Bill Colby, JD
Host: Susan Dolan, RN, JD
Hear attorney Bill Colby, National Fellow with the National Hospice and Palliative Care Organization and author of Unplugged: Reclaiming Our Right to Die in America, as he discusses what healthcare issues the Baby Boomers will face at the end-of-life.
Guest: Bill Colby, JD
Host: Susan Dolan, RN, JD
Hear Bill Colby, the lawyer who represented the family of Nancy Cruzan in the first right-to-die case heard by the U.S. Supreme Court, and the author of Unplugged: Reclaiming Our Right to Die in America, as he offers his best advice regarding end-of-life care.
Guest: Robert McClory
Host: Bruce Bloom, DDS, JD
Robert McClory associate professor emeritus at Northwestern university, a former priest and author of numerous articles on the issues of Catholicism and medicine, discusses the evolving healthcare implications of new directives of the Catholic church and the patients end of life choices.
Guest: Robert McClory
Host: Bruce Bloom, DDS, JD
Robert Mcclory associate professor emeritus at Northwestern University, a former Catholic priest and author of numerous articles on the issues of Catholicism and medicine, discusses the religiuos implications on the medical care decisions that supported Terry Schiavo.
Guest: Sherwin Nuland, MD
Host: Susan Dolan, RN, JD
Hear Dr. Sherwin Nuland, professor of surgery at Yale University, as he discusses his book, The Art of Aging: A Doctor's Prescription for Well-Being.
Guest: Sherwin Nuland, MD
Host: Susan Dolan, RN, JD
Dr. Sherwin Nuland is a clinical professor of surgery at Yale University, where he currently teaches bioethics and medical history. Hear Dr. Nuland as he discusses his book, How We Die, winner of the National Book Award.
Guest: Donald Taylor, PhD
Host: Susan Dolan, RN, JD
Hear Dr. Donald H. Taylor, Assistant Professor of Public Policy Studies at Duke University, as he discusses his research revealing that hospice saves Medicare money.
Guest: Mary Labyak, MSW
Host: Susan Dolan, RN, JD
Hear Mary Labyak, MSW, President and CEO of the Hospice of the Florida Suncoast, the largest not-for-profit, community based hospice in the nation, dispel myths about hospice.
Guest: Stacy Orloff, EdD
Host: Susan Dolan, RN, JD
Dr. Stacy Orloff is Vice President of Palliative Care and Community Programs for the Hospice of the Florida Suncoast in Clearwater, Florida. During this segment, hear Dr. Orloff as she discusses the perinatal support services that are available when an unborn child has been diagnosed with a terminal condition.
Guest: Drew Rosielle, MD
Host: Susan Dolan, RN, JD
Pallimed is a hospice and palliative medicine blog. During this segment, hear Dr. Drew Rosielle, a palliative care specialist, discuss the blog he founded.
Guest: Fran Griffin, MPA
Host: Lee Freedman, MD
Ms. Griffin, a Director at the Institute for Healthcare Improvement, discusses strategies to reduce perioperative complications. She covers not only the theoretical basis for these interventions but also their implementation in the hospital setting.
Guest: Fran Griffin, MPA
Host: Lee Freedman, MD
Ms. Griffin, a Director at the Institute for Healthcare Improvement, discusses specific interventions that can be taken to prevent the spread of methicillin resistant staphylococcus aureus infections. She also outlines practical implementation of these strategies.
Guest: Rick Goldstein, MD
Host: Bill Rutenberg, MD
Dr. Rick Goldstein discusses the state of pediatric palliative care in America today, including the directions this emerging field is taking and the challenges practitioners face in terms of recognition and acceptance in the wider community.
Guest: Marguerite O'Connor, MEd
Host: Susan Dolan, RN, JD
Join nationally recognized grief and bereavement expert Marguerite O'Connor as she discusses her book, Griefstruck: When a Death Changes Your Life, and how physicians can support their patients who are suffering from grief.
Guest: Marguerite O'Connor, MEd
Host: Susan Dolan, RN, JD
Join Funeral Director Marguerite O'Connor as she offers her best advice for meeting the needs of patients and families at the end-of-life.
Guest: Linda Emanuel, MD, PhD
Host: Maurice Pickard, MD
Dr. Maurice Pickard speaks with Dr. Linda Emanuel about the devastating economic impact of terminal illness, a local and global issue that drives bereaved families into poverty and can cause downward, multigenerational spirals.
Guest: Brian Carter, MD
Host: Susan Dolan, RN, JD
Join Dr. Brian Carter, Professor of Pediatrics in the Division of Neonatology at Vanderbilt Children's Hospital in Nashville, Tennessee, to discuss palliative care and hospice for the special care newborn.
Guest: Paul Rousseau, MD
Host: Susan Dolan, RN, JD
Hear Dr. Paul Rousseau, Chief of the Department of Geriatrics at the Carl T. Hayden Veteran's Administration Medical Center in Phoeniz, Arizona, as he discusses his May 2007 JAMA essay titled "Rounds."
Guest: Paul Rousseau, MD
Host: Susan Dolan, RN, JD
Join Dr. Paul Rousseau, Chief of the Department of Geriatrics at the Carl T. Hayden Veteran's Administration Medical Center in Phoenix, Arizona, to discuss his JAMA essay on Chemotherapy.
Guest: Timothy Quill, MD
Host: Susan Dolan, RN, JD
Hear Dr. Timothy Quill, Director of the Center for Ethics, Humanities and Palliative Care and Professor at the University of Rochester School of Medicine, as he discusses palliative treatment for end-stage diabetes.
Guest: Stacy Orloff, EdD
Host: Susan Dolan, RN, JD
Dr. Stacy Orloff, co-chair of the Children's Project on Palliative Hospice Services (ChiPPS), a program of the National Hospice and Palliative Care Organization discusses how ChiPPS improves palliative and hospice care for children.
Guest: Bill Manahan, MD
Host: Susan Dolan, RN, JD
Join Dr. Bill Manahan as he describes his wife's unique journey through cancer and beyond.
Guest: Bill Manahan, MD
Host: Susan Dolan, RN, JD
Dr. Bill Manahan discusses the book, "Living Consciously, Dying Gracefully," written about his wife's journey with cancer.
Guest: Beverly Johnson
Host: Susan Dolan, RN, JD
Join Beverly H. Johnson, the President and Chief Executive Officer of the Institute for Family-Centered Care and co-author of the book, Privileged Presence: Personal Stories of Connections in Healthcare, to discuss an innovative approach to the planning, delivery and evaluation of healthcare.
Guest: Beverly Johnson
Host: Susan Dolan, RN, JD
Family Advisory Councils help train medical residents, review safety measures, evaluate hospital equipment and help design clinical trials. Join Beverly H. Johnson, President and Chief Executive Officer of the Institute for Family-Centered Care and co-author of the book, Privileged Presence: Personal Stories of Connections in Healthcare, discuss the benefits of Family Advisory Councils.
Guest: David Dosa, MD, MPH
Host: Susan Dolan, RN, JD
Join Dr. David Dosa, author of the New England Journal of Medicine essay about Oscar the Cat, as he discusses Oscar's uncanny knack for predicting death.
Guest: Ira Byock, MD
Host: Susan Dolan, RN, JD
Join Dr. Ira Byock, nationally known expert on end of life care, as he discusses solutions to the current end of life care crisis.
Guest: Ira Byock, MD
Host: Susan Dolan, RN, JD
Join Dr. Ira Byock, Director and Co-founder of the Reclaiming the End of Life Initiative, as he discusses how the Initiative was formed to use the upcoming New Hampshire presidential primaries to engage candidates in a national conversation about end of life care.
Guest: Ira Byock, MD
Host: Susan Dolan, RN, JD
Join Dr. Ira Byock, Director of Palliative Medicine at Dartmouth Hitchcock Medical Center, Professor of Anesthesiology and Community and Family Medicine at Dartmouth Medical School in New Hampshire, and Director and Co-founder of the Reclaiming the End of Life Initiative, as he discusses his latest book, The Four Things That Matter Most.
Guest: Diane Meier, MD
Host: Susan Dolan, RN, JD
hear Dr. Diane Meier from Mount Sinai School of Medicine and the Center to Advance Palliative Care, as she discusses the inner life of physicians who care for the seriously ill.
Guest: Diane Meier, MD
Host: Susan Dolan, RN, JD
Hear Dr. Diane Meier, from Mount Sinai School of Medicine and the Center to Advance Palliative Care, discuss how to run a successful family meeting.
Guest: Perry Fine, MD
Host: Susan Dolan, RN, JD
Join Dr. Perry Fine, Senior Fellow with the National Hospice and Palliative Care Organization, as he offers physicians a simple way to determine when a patient with nonmalignant disease is eligible for hospice care.
Guest: Perry Fine, MD
Host: Susan Dolan, RN, JD
Join Dr. Perry Fine, Senior Fellow with the National Hospice and Palliative Care Organization as he explains the benefits of Open Access Hospice.
Host: Larry Kaskel, MD
Guest: Elizabeth Tieman, MD
Work-life balance: how many of us can say we have it, let alone come close to having it? Board-certified radiologist Dr. Betsy Tieman is one healthcare professional who can say she achieved work-life balance by leaving private practice where she was working 14 hours a day to take advantage of locum tenens work, which also enabled her to train and compete in triathlons.
Guest: John Carney, MEd
Host: Susan Dolan, RN, JD
Hear John Carney, Vice President, Aging and End of Life, at the Center for Practical Bioethics in Kansas City, MO. as he discusses Dr. Kevorkian, euthanasia and physician assisted dying.
Guest: John Carney, MEd
Host: Susan Dolan, RN, JD
Hear John Carney, Vice President, Aging and End of Life, at the Center for Practical Bioethics in Kansas City, MO as he discusses the futility laws and the Baby Emilio case.
Guest: Larry Dossey, MD
Host: Susan Dolan, RN, JD
Join Dr. Larry Dossey, author of Prayer is Good Medicine, Be Careful What You Pray For, and the New York Times best seller book on prayer, Healing Words, as he discusses the relationship between prayer and health.
Guest: Thomas Finucane, MD
Host: Susan Dolan, RN, JD
Join Dr. Thomas E. Finucane, Professor of Geriatric Medicine and Gerontology at Johns Hopkins School of Medicine, as he discusses his May 2007 article in the Journal of the American Medical Directors Association titled, "Tube Feeding in Dementia: How Incentives Undermine Health Care Quality and Patient Safety."
Guest: Thomas Finucane, MD
Host: Susan Dolan, RN, JD
Join Dr. Thomas E. Finucane, Professor of Geriatric Medicine and Gerontology at Johns Hopkins School of Medicine, as he discusses the myths and realities of feeding tubes for patients with advanced dementia.
Guest: Donald Schumacher, PsyD
Host: Susan Dolan, RN, JD
Hear Dr. J. Donald Schumacher, President and CEO of the National Hospice and Palliative Care Organization as he discusses Pediatric Hospice.
Guest: Donald Schumacher, PsyD
Host: Susan Dolan, RN, JD
Hear Dr. J. Donald Schumacher, President and CEO of the National Hospice and Palliative Care Organization as he discusses end of life care for the Baby Boomers.
Guest: Deforia Lane, PhD
Host: Susan Dolan, RN, JD
Join Dr. Deforia Lane, Director of Music Therapy at University Hospitals of Cleveland, Ireland Cancer Center and Rainbow Babies and Children's Hospital as she discusses music therapy research and what happens in the brain and body when we hear music.
Guest: Deforia Lane, PhD
Host: Susan Dolan, RN, JD
Join Dr. Deforia Lane, the Director of Music Therapy at University Hospitals of Cleveland, Ireland Cancer Center and Rainbow Babies and Children's Hospital as she discusses how music promotes healing and alleviates suffering.
Guest: Randall Curtis, MD
Host: Susan Dolan, RN, JD
Join Dr. Randall Curtis as he describes what doctors who receive the highest marks in the ICU do. Dr. Curtis is Professor of Medicine at the University of Washington in Seattle and attending physician in Pulmonary and Critical Care Medicine at Harborview Medical Center. His research focuses on measuring and improving the quality of end-of-life care for patients with critical or chronic illness.
Guest: Randall Curtis, MD
Host: Susan Dolan, RN, JD
Join Dr. Randall Curtis as he discusses his latest research on measuring and improving the quality of end-of-life care for patients in the ICU. Dr. Curtis is Professor of Medicine at the University of Washington in Seattle and attending physician in Pulmonary and Critical Care Medicine at Harborview Medical center. His research focuses on measuring and improving the quality of end-of-life care for patients with critical or chronic illness.
Guest: Timothy Quill, MD
Host: Susan Dolan, RN, JD
Hear Dr. Timothy E. Quill as he discusses Implantable Cardiac Devices and the terminally ill.
Guest: Timothy Quill, MD
Host: Susan Dolan, RN, JD
Join Dr. Timothy E. Quill, Professor of Medicine, Psychiatry and Medical Humanities at the University of Rochester School of Medicine and Dentistry, Director of the Center for Ethics, Humanities and Palliative Care and Chairman of the Ethics Committee of the American Academy of Hospice and Palliative Medicine as he discusses terminal sedation.
Guest: Timothy Quill, MD
Host: Susan Dolan, RN, JD
Join Dr. Timothy E. Quill, Professor of Medicine, Psychiatry and Medical Humanities at the University of Rochester School of Medicine, Director of the Center for Ethics, Humanities and Palliative Care and Chairman of the Ethics Committee of the American Academy of Hospice and Palliative Care as he discusses physician assisted suicide.
Guest: Timothy Quill, MD
Host: Susan Dolan, RN, JD
Join Dr. Timothy E. Quill, Professor of Medicine, Psychiatry and Medical Humanities at the University of Rochester School of Medicine, Director of the Center for Ethics, Humanities and Palliative Care and Chairman of the Ethics Committee of the American Academy of Hospice and Palliative Medicine as he discusses how to communicate bad news.
Guest: Diane Meier, MD
Host: Susan Dolan, RN, JD
Hear Dr. Diane Meier, Director of the Center to Advance Palliative Care, as she offers her best advice for starting a hospital based palliative care program.
Guest: Diane Meier, MD
Host: Susan Dolan, RN, JD
Hear Dr. Diane Meier, the Director of the Center to Advance Palliative Care, as she discusses recent advances in palliative care medicine.
Guest: Barry Baines, MD
Host: Susan Dolan, RN, JD
Ethical Wills are gaining popularity as a way to leave loved ones with values instead of just valuables. Join Dr. Barry K. Baines as he discusses how Ethical Wills help patients.
Guest: Barry Baines, MD
Host: Susan Dolan, RN, JD
Pulse, respiration, blood pressure and temperature are the 4 traditional vital signs. Pain is now the 5th. Join Dr. Barry K. Baines to learn about the 6th vital sign.
Guest: Dannion Brinkley
Host: Susan Dolan, RN, JD
Dannion Brinkley discusses the near death experience and focuses on the role of the medical professional.
Guest: Dannion Brinkley
Host: Susan Dolan, RN, JD
Dannion Brinkley, author of the international best seller, Saved by the Light, discusses his three near death experiences.
Guest: Stephen Connor, PhD
Host: Susan Dolan, RN, JD
Join Dr. Stephen R. Connor as he offers a Hospice 101 including the latest statistics on hospice usage, how physicians are paid when their patients are receiving hospice care and how to break bad news.
Guest: Stephen Connor, PhD
Host: Susan Dolan, RN, JD
Join Dr. Stephen R. Connor, the lead researcher for a study published in the March 2007 issue of the Journal of Pain and Symptom Management, as he discusses how hospice care can prolong the lives of some terminally ill patients.
Guest: Bill Colby, JD
Host: Susan Dolan, RN, JD
Join Attorney Bill Colby as he discusses the cases of Karen Ann Quinlan, Nancy Cruzan and Terri Schiavo.
Guest: Bill Colby, JD
Host: Susan Dolan, RN, JD
Hear Bill Colby, the lawyer who represented the family of Nancy Cruzan in the first right-to-die case heard by the United States Supreme Court, as he discusses his latest book: Unplugged.
Guest: Bill Colby, JD
Host: Susan Dolan, RN, JD
Hear attorney Bill Colby as he discusses his latest Op Ed piece about a health care problem that we can fix.